Continuous Abstinence Rates from Smoking Over 12 Months according to the Frequency of Participation in a Hospital-based Smoking Cessation Program among Patients Discharged after Acute Myocardial Infarction.
10.15384/kjhp.2016.16.1.48
- Author:
Young Hoon LEE
1
;
Mi Hee HAN
;
Mi Rim LEE
;
Jin Won JEONG
;
Nam Ho KIM
;
Seok Kyu OH
;
Kyeong Ho YUN
;
Sang Jae RHEE
;
Jum Suk KO
;
Gyung Jae OH
Author Information
1. Department of Preventive Medicine and Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, Korea. pmokj@wonkwang.ac.kr
- Publication Type:Original Article
- Keywords:
Smoking cessation;
Myocardial infarction;
Hospitals
- MeSH:
Carbon Monoxide;
Counseling;
Education;
Follow-Up Studies;
Humans;
Logistic Models;
Myocardial Infarction*;
Smoke*;
Smoking Cessation*;
Smoking*;
Substance Withdrawal Syndrome
- From:Korean Journal of Health Promotion
2016;16(1):48-55
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: This study evaluated the continuous abstinence rates from smoking at 12-month after a hospital-based smoking cessation program was applied for smokers hospitalized for acute myocardial infarction. METHODS: Among those who are hospitalized for acute myocardial infarction from January 2012 to December 2013, ninety-eight smokers agreed to quit smoking were eligible for follow up to 12 months. Each of them underwent six consecutive sessions (first during admission, the other 5 sessions after discharge) of behavioral modification, counseling for withdrawal symptoms, and anti-smoking advices by a trained nurse. Exhaled carbon monoxide measurements less than 6 ppm were used to confirm the smoking cessation status of each participant. RESULTS: Mean age of all participants was 55.2±10.8 years old, and their continuous abstinence rates at 1, 3, 6, 12 months were 63.3%, 49.0%, 43.9%, and 37.8% for each. The continuous abstinence rate from smoking after 12 months was 69.7% and significantly higher in those who completed the 6 sessions than 21.5% in those who completed 5 sessions or less (P<0.001). After adjustment for general and smoking-related characteristics, multivariate logistic regression analysis revealed that full participation relative to 5 or less participation was significantly associated with higher continuous abstinence rate from smoking at 12 months (odds ratio: 7.96; 95% confidence interval: 2.07-30.55). CONCLUSIONS: The consistency of participating in a hospital-based smoking cessation program, described herein, significantly improved success rates of smoking cessation in patients discharged after acute myocardial infarction. Hospital-based smoking cessation program based on education and counseling should be included as an important part of patient management for acute myocardial infarction.
